COVID-19 pandemic has decreased worldwide surgical activity, thus impairing the training of surgical residents. As a coping strategy, we opted for laparoscopic simulation with endotrainer; however, due to social distancing rules, a face-to-face tutoring training method is unfeasible. In this context telementoring using WhatsApp® Messenger (owned by Facebook Inc., Menlo Park, CA) with a Smartphone aims to train surgical residents in laparoscopy from their homes during the pandemic.
Trainers and surgical residents who were at home participated in this study. They used endotrainers with Smartphone cameras and were trained by video calls using WhatsApp. The baseline and final score of intracorporeal knotting was measured, according to the Fundamentals of Laparoscopic Surgery (FLS) methodology, measuring the difference in means with the paired -test. Recommendations for virtual surgical tutoring were followed and user satisfaction was measured using the Likert scale.
40 surgical residents participated. The average distance between the mentor and the trainee was 12.87km. Average bandwidth was 32.5 Megabits per second (Mbits/s), latency was 424.5ms (ms), good quality image with immediate feedback was achieved. The statistically significant difference between basal and final measurement was 23.7 points (p&lt;0.001). All participants found telementoring a good educational tool.
Smartphone telementoring using WhatsApp® Messenger is an effective educational tool for acquiring laparoscopic skills with a statistically significant difference. This type of training represents a new teaching resource in the light of the recommendations of social distancing during a pandemic.
Smartphone telementoring using WhatsApp® Messenger is an effective educational tool for acquiring laparoscopic skills with a statistically significant difference. This type of training represents a new teaching resource in the light of the recommendations of social distancing during a pandemic.?All three vaccines have substantial efficacy in preventing symptomatic and severe Sars-CoV-2 infection.?Vaccine dissemination is important due to the rapid mutagenic nature of the virus and continuing decline in the health and economies around the world.?Further attempts to achieve widespread access of the vaccine is vital for all preventative measures to be maximally successful.Nurses and patients are often exposed to various types of infections during their clinical practice. https://www.selleckchem.com/products/nsc-23766.html Knowledge and compliance with standard precautions are essential to prevent hospitals associated infections and protect patients as well as medical workers from exposure to infectious agents.
This study aimed to assess the level of knowledge, level of compliance, and associated factors toward compliance with standard precautions among registered nurses in the North of Jordan.
A cross-sectional study was conducted at three hospitals in the North of Jordan. Two were public hospitals and one was a university-affiliated hospital. A questionnaire concerning the knowledge and compliance with the standard precaution guidelines was distributed among 300 registered nurses of whom 266 completed the questionnaire (response rate 88.7%).
53% of the participants were from governmental hospitals and 57.1% were females. The age median of them was 30 years (IQR=28-32). The majority of the participants were medical/surgfor nurses to improve their knowledge and compliance with infection-control standard precautions.Postoperative urinary retention (POUR) is one of the most common complications after surgery with several risk factors. However, its precise etiology is not completely understood. So far, the effect of prophylactic condom sheet placement on the prevention of POUR has not been addressed. This study was designed to understand whether preventive condom sheet decreases the rate of POUR.
This randomized clinical trial was carried out in an educational hospital during 2018-2019. All male patients, who underwent anorectal surgery with spinal anesthesia, were included and randomly allocated into two groups (with and without postoperative condom sheet placement).
A total of 172 patients were included in this study (86 patients per group). Twenty-three (13.4%) patients developed POUR. The incidence of POUR was 15.1% among patients with condom sheets and 11.6% in patients without condom sheets, which was not significantly different (P&gt;0.5). POUR development had a significant correlation with the use of morphine and history of hypertension in both univariate and multivariate analyses.
Based on the present results, it seems that condom sheet placement did not effectively prevent POUR in patients; therefore, ambulation of patients after surgery is a more effective strategy for these patients.
Based on the present results, it seems that condom sheet placement did not effectively prevent POUR in patients; therefore, ambulation of patients after surgery is a more effective strategy for these patients.Poor handover and inadequate transmission of clinical information between shifts can result in patient harm. This study was designed to evaluate the impact of implementing a handover protocol on the quality of information exchanged in the trauma handover meetings in a UK district general hospital.
A prospective single centre observational study was performed at an acute NHS trust, using the define, measure, analyse, improve and control (DMAIC) methodology. Ten consecutive weekday trauma meetings, involving 43 patients, were observed to identify poor practices in handover. This data was used in conjunction with the Royal College of Surgeon's recommendations for effective handover (2007) to create a standard operating protocol (SOP). Following the implementation of the SOP, a further eight consecutive weekday trauma meetings, involving a further 47 patients, were observed. The data collection was performed by five trained independent observers. The data was analysed using -test for quantitative variables and chi-square or Fisher's exact tests for categorical variables.
An improvement in the trauma handover was demonstrated in multiple aspects of trauma handover including patient's past medical history, date of injury, results, diagnosis, consent, mark and starvation status (all p&lt;0.001). Subgroup analyses showed that handover of neck of femur patients including information on baseline mobility (p=0.04), Nottingham Hip Fracture Score (p=0.01), next of kin discussion (p=0.075) and resuscitation status (p=0.001) all improved following our interventions.
These results demonstrate that the implementation of a well-structured handover protocol can improve the transmission of critical information in trauma meetings.
These results demonstrate that the implementation of a well-structured handover protocol can improve the transmission of critical information in trauma meetings.